KONSELING OBAT TUBERCULOSIS (TBC) | APOTEKER UHAMKA 42 | KELAS B

Summary

This video captures a pharmacy counseling session where a pharmacist explains the treatment plan for a patient diagnosed with tuberculosis (TB). The pharmacist details the medication regimen, including multiple drugs, their dosages, and the importance of adhering to the prescribed schedule. The patient, who is pregnant, is also informed about potential side effects, such as changes in urine color and tingling sensations. Additionally, lifestyle recommendations are provided, including the use of a mask, exercise, and regular check-ups. The session emphasizes patient compliance and provides clear instructions for managing the medication effectively.

Takeaways

• 😀 The pharmacist verifies the patient's identity and confirms details about the prescription for TB treatment.
• 😀 The treatment consists of two phases: an initial 2-month phase to fight active infection and a 4-month phase to eliminate remaining bacteria.
• 😀 The prescribed medications include Rifampicin (500 mg), Ethambutol (500 mg), Isoniazid (100 mg), and Vitamin B, with specific instructions to take them before meals.
• 😀 The patient may experience side effects like orange or red urine due to the medication, which is harmless and expected.
• 😀 Some medications like Paracetamol are to be taken after meals, particularly when the patient experiences dizziness or fever.
• 😀 The pharmacist emphasizes the importance of taking medications consistently, at the same time every day to ensure effectiveness.
• 😀 If the patient misses a dose, they should resume with the next scheduled dose without doubling up.
• 😀 A medication schedule chart is provided to help the patient keep track of their medication and avoid missing doses.
• 😀 The patient is advised to wear a mask during the treatment to prevent spreading tuberculosis and practice regular exercise and sun exposure.
• 😀 The patient is reminded to schedule a follow-up visit with the doctor in October for the next phase of the treatment.
• 😀 At the end of the counseling session, the pharmacist ensures the patient understands the information and requests their consent with a signature.

Q & A

What is the purpose of the consultation in the video?

The purpose of the consultation is to provide guidance and counseling to the patient, Ibu Yuni, regarding her tuberculosis (TBC) treatment regimen, ensuring she understands the medications, potential side effects, and how to properly follow her treatment plan.

How long is the prescribed tuberculosis treatment supposed to last?

The prescribed tuberculosis treatment lasts for 6 months, divided into two phases: an initial 2-month phase to kill the bacteria and a 4-month phase to clear any remaining bacteria.

What medications are prescribed for the patient's tuberculosis treatment?

The prescribed medications are: Pinamit (500 mg), Etangbutol (500 mg), Rifonfusin (450 mg), Isoniazid (100 mg), Vitamin B, and Paracetamol. These are taken in specific doses, mostly before meals, with Paracetamol taken after meals.

Are there any precautions regarding the medications and pregnancy?

The pharmacist confirms that the tuberculosis medications are safe for use during pregnancy, and the patient is reassured that there are no harmful effects on her pregnancy from the treatment.

What should the patient do if she forgets to take her medication?

If the patient forgets to take her medication, she should continue with the next dose as scheduled without doubling the dose. To help avoid forgetting, a medication schedule card is provided.

What side effects should the patient expect during the treatment?

The patient may experience side effects such as orange or red-colored urine, which is normal, and numbness or tingling sensations in her hands and feet. Vitamin B is prescribed to help alleviate the numbness.

How should the patient store her medications?

The patient is advised to store her medications in a safe place, out of reach of children, away from direct sunlight, and at room temperature in a dry area. The medications should not be stored in the refrigerator.

What steps can the patient take to prevent spreading tuberculosis to others?

The pharmacist recommends that the patient wear a mask while working to protect others from potential tuberculosis transmission and advises regular sun exposure and exercise.

When is the patient's next follow-up appointment, and why is it important?

The patient is scheduled for a follow-up check-up on October 5th to assess her progress and continue the second phase of her treatment. This is crucial to ensure the treatment is working effectively and to prevent the disease from worsening.

What additional tools or resources are provided to the patient to help manage her medication?

The pharmacist provides the patient with a medication schedule card to help her track her doses, along with their contact information in case she has any further questions or needs assistance.